. >> i don't know the research for san francisco, but i know the research as professor malic has. it almost results in higher prices and ken has access issues as there is one obvious way to think about it is what does it mean for the prices being charged to the uninsured. it's rare that people who can't afford it pay the full price, but it could happen, but there's also concern that as prices continue to rise, that the growing gap between what commercial payers pay and what public payers pay, could lead to access issues generally that there may not be providers accept general patients because their prices haven't been kept low enough since they didn't have to be kept low enough and it's no longer sustainable to them to provide to those who can't pay. there is a broad body of research to be done, but there's more to learn. >> i know some were saying as we were negotiations and supervisor farrel and chiu did great work to make sure the cpnc development is going to move forward at a positive way, but i know as the 50 bed centralized location was being discussed. some were saying st.